Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.19 / $1,163.19 / $1,163.19	Professional		$1,163.19	$1,163.19	$1,163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,476.91 / $1,476.91 / $1,510.77	Professional		$1,476.91	$1,476.91	$1,510.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,685.11 / $1,844.17 / $2,279.85	Professional		$1,685.11	$1,844.17	$2,279.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,299.68 / $1,417.84 / $1,654.14	Professional		$1,299.68	$1,417.84	$1,654.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.16 / $1,500.46 / $1,955.76	Professional		$1,205.16	$1,500.46	$1,955.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,382.67 / $2,033.67	Professional		$29.27	$1,382.67	$2,033.67